DAVIS PEDIATRIC SUCCESS CHAPTER
#3 GROWTH AND DEVELOPMENT EXAM
QUESTIONS AND ANSWERS
The nurse is going to give a 6-month-old a dose of ceftriaxone (Rocephin) IM.
What must the nurse do when the 1.5-mL dose arrives from the pharmacy?
1. Administer the injection into the deltoid muscle.
2. Divide the dose into two injections.
3. Administer the injection into the dorsogluteal muscle.
4. Give dose as a single injection into the vastus lateralis muscle. - ANSWER -2
The nurse should not deliver more than
1 mL per IM injection to a 6-month-old.
TEST-TAKING HINT: The test taker must
have knowledge of IM injections sites and
acceptable volumes for children of varying
ages.
Which statements by an infant ' s mother lead the nurse to believe that she needs
further education about the nutritional needs of a 6-month-old? Select all that
apply.
1. "I will continue to breastfeed my son and will give him oatmeal cereal two times
a day."
2. "I will start my son on fruits and gradually introduce vegetables."
3. "I will start my son on carrots and will introduce one new vegetable every few
days."
4. "I will not give my son any more than 4 to 6 ounces of baby juice per day."
5. "I will make sure my son gets cereal three times a day." - ANSWER -2, 4, 5
2. Infants should be started on vegetables
prior to fruits. The sweetness of
fruits may inhibit infants from taking
vegetables.
4. Infants can be given fruit juice by 6
months of age, but it is recommended
not to exceed 4 to 6 ounces per day.
5. Infants need another source of iron
by 4 to 6 months of age, so cereal is
introduced twice a day.
Which statement accurately describes the best method for assessing a 12-month-old?
,1. The nurse should assess the child on the examining table.
2. The nurse should assess the child in a head-to-toe sequence.
3. The nurse should have the child ' s parent assist in holding her down.
4. The nurse should assess the child while she is in her parent ' s lap. - ANSWER -4
Infants are most secure when in
proximity to the parent. The parent ' s lap
is an excellent place to assess the child.
TEST-TAKING HINT: Health-care professionals
must use developmentally appropriate
methods to approach children. The test
taker must have knowledge of a child ' s
psychosocial development. Answers 1 and 2
can be eliminated because these methods of
assessment would be used on an older child.
The nurse is instructing a new breastfeeding mother in the need to provide her
premature infant with an adequate source of iron in her diet. Which statement
reflects a need for further education of the new mother?
1. "I will use only breast milk or an iron-fortified formula as a source of milk for my
baby until she is at least 12 months old."
2. "My baby will need to have iron supplements introduced when she is 4 months
old."
3. "I will need to add iron supplements to my baby ' s diet when she is 2 months
old."
4. "When my baby begins to eat solid foods, I should introduce iron-fortified
cereals to her diet." - ANSWER -3
Premature infants have iron stores from
the mother that last approximately 2
months, so it is important to introduce
an iron supplement by 2 months of age.
Full-term infants have iron stores that
last approximately 4 to 6 months.
TEST-TAKING HINT: The test taker must have
knowledge of the recommended nutrition
for an infant.
A first-time mother brings in her 5-day-old baby for a well-child visit. The nurse
weighs the infant and reports a weight of 7 lb 5 oz to the mother. The mother
looks concerned and tells the nurse that her baby weighed 7 lb 10 oz when she was
discharged 4 days ago. The nurse ' s best response to the mother is:
, 1. "I will let the doctor know, and he will talk with you about possible causes of
your infant ' s weight loss."
2. "A weight loss of a few ounces is common among newborns, especially for
breastfeeding mothers."
3. "I can tell you are a first-time mother. Don ' t worry; we will find out why she is
losing weight."
4. "Maybe she isn ' t getting enough milk. How often are you breastfeeding her?" -
ANSWER -2
Newborns can lose up to 10% of their
birth weight without concern but should
regain their birth weight by 2 weeks of
age.
TEST-TAKING HINT: The test taker can
eliminate answer 3. This is a nontherapeutic
response. Remembering that newborns can
lose up to 10% of their birth weight will
help you choose the right response.
The mother of an 11-month-old with iron-defi ciency anemia tells the nurse that her
infant is currently taking iron and a multivitamin. Which statement made by the
mother should be of concern to the nurse?
1. "I give the iron and multivitamin at the same time each morning."
2. "I give the iron and multivitamin in the morning 6-oz bottle."
3. "I give the iron and multivitamin 2 hours before I feed the morning bottle."
4. "I give the iron and multivitamin in oral syringes toward the back of the cheek." -
ANSWER -2
Medications should never be mixed in a
large amount of food or formula because
the parent cannot be sure that the child
will take the entire feeding. Formula
decreases the absorption of iron.
TEST-TAKING HINT: The test taker must have
knowledge of medication administration.
Answers 1, 3, and 4 can be eliminated
as they are all appropriate methods for
administering medications to infants.
Which statement accurately describes how the nurse should approach an 11-year-old
to do a physical assessment?
1. Ask the child ' s parents to remain in the room during the physical exam.
2. Auscultate the heart, lungs, and abdomen first.
3. Explain that the physical exam will not hurt.
#3 GROWTH AND DEVELOPMENT EXAM
QUESTIONS AND ANSWERS
The nurse is going to give a 6-month-old a dose of ceftriaxone (Rocephin) IM.
What must the nurse do when the 1.5-mL dose arrives from the pharmacy?
1. Administer the injection into the deltoid muscle.
2. Divide the dose into two injections.
3. Administer the injection into the dorsogluteal muscle.
4. Give dose as a single injection into the vastus lateralis muscle. - ANSWER -2
The nurse should not deliver more than
1 mL per IM injection to a 6-month-old.
TEST-TAKING HINT: The test taker must
have knowledge of IM injections sites and
acceptable volumes for children of varying
ages.
Which statements by an infant ' s mother lead the nurse to believe that she needs
further education about the nutritional needs of a 6-month-old? Select all that
apply.
1. "I will continue to breastfeed my son and will give him oatmeal cereal two times
a day."
2. "I will start my son on fruits and gradually introduce vegetables."
3. "I will start my son on carrots and will introduce one new vegetable every few
days."
4. "I will not give my son any more than 4 to 6 ounces of baby juice per day."
5. "I will make sure my son gets cereal three times a day." - ANSWER -2, 4, 5
2. Infants should be started on vegetables
prior to fruits. The sweetness of
fruits may inhibit infants from taking
vegetables.
4. Infants can be given fruit juice by 6
months of age, but it is recommended
not to exceed 4 to 6 ounces per day.
5. Infants need another source of iron
by 4 to 6 months of age, so cereal is
introduced twice a day.
Which statement accurately describes the best method for assessing a 12-month-old?
,1. The nurse should assess the child on the examining table.
2. The nurse should assess the child in a head-to-toe sequence.
3. The nurse should have the child ' s parent assist in holding her down.
4. The nurse should assess the child while she is in her parent ' s lap. - ANSWER -4
Infants are most secure when in
proximity to the parent. The parent ' s lap
is an excellent place to assess the child.
TEST-TAKING HINT: Health-care professionals
must use developmentally appropriate
methods to approach children. The test
taker must have knowledge of a child ' s
psychosocial development. Answers 1 and 2
can be eliminated because these methods of
assessment would be used on an older child.
The nurse is instructing a new breastfeeding mother in the need to provide her
premature infant with an adequate source of iron in her diet. Which statement
reflects a need for further education of the new mother?
1. "I will use only breast milk or an iron-fortified formula as a source of milk for my
baby until she is at least 12 months old."
2. "My baby will need to have iron supplements introduced when she is 4 months
old."
3. "I will need to add iron supplements to my baby ' s diet when she is 2 months
old."
4. "When my baby begins to eat solid foods, I should introduce iron-fortified
cereals to her diet." - ANSWER -3
Premature infants have iron stores from
the mother that last approximately 2
months, so it is important to introduce
an iron supplement by 2 months of age.
Full-term infants have iron stores that
last approximately 4 to 6 months.
TEST-TAKING HINT: The test taker must have
knowledge of the recommended nutrition
for an infant.
A first-time mother brings in her 5-day-old baby for a well-child visit. The nurse
weighs the infant and reports a weight of 7 lb 5 oz to the mother. The mother
looks concerned and tells the nurse that her baby weighed 7 lb 10 oz when she was
discharged 4 days ago. The nurse ' s best response to the mother is:
, 1. "I will let the doctor know, and he will talk with you about possible causes of
your infant ' s weight loss."
2. "A weight loss of a few ounces is common among newborns, especially for
breastfeeding mothers."
3. "I can tell you are a first-time mother. Don ' t worry; we will find out why she is
losing weight."
4. "Maybe she isn ' t getting enough milk. How often are you breastfeeding her?" -
ANSWER -2
Newborns can lose up to 10% of their
birth weight without concern but should
regain their birth weight by 2 weeks of
age.
TEST-TAKING HINT: The test taker can
eliminate answer 3. This is a nontherapeutic
response. Remembering that newborns can
lose up to 10% of their birth weight will
help you choose the right response.
The mother of an 11-month-old with iron-defi ciency anemia tells the nurse that her
infant is currently taking iron and a multivitamin. Which statement made by the
mother should be of concern to the nurse?
1. "I give the iron and multivitamin at the same time each morning."
2. "I give the iron and multivitamin in the morning 6-oz bottle."
3. "I give the iron and multivitamin 2 hours before I feed the morning bottle."
4. "I give the iron and multivitamin in oral syringes toward the back of the cheek." -
ANSWER -2
Medications should never be mixed in a
large amount of food or formula because
the parent cannot be sure that the child
will take the entire feeding. Formula
decreases the absorption of iron.
TEST-TAKING HINT: The test taker must have
knowledge of medication administration.
Answers 1, 3, and 4 can be eliminated
as they are all appropriate methods for
administering medications to infants.
Which statement accurately describes how the nurse should approach an 11-year-old
to do a physical assessment?
1. Ask the child ' s parents to remain in the room during the physical exam.
2. Auscultate the heart, lungs, and abdomen first.
3. Explain that the physical exam will not hurt.
